Individual provider Active NPI

Krissy Renee Wappler, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1609167386
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
54869 Issued in TX
Practice address
14001 Bee Cave Pkwy Ste 100
Austin, TX 78738-7173
Phone
(512) 884-1277
NPI assigned
Apr 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 54869 TX Primary
Clinical Social Worker 1041C0700X 007472 CT

Addresses

Primary practice location

14001 Bee Cave Pkwy Ste 100
Austin, TX 78738-7173

Mailing address

803 Lakeway Dr
Lakeway, TX 78734-4433
Phone (512) 884-1277

Other practice location 1

700 Summer St
Suite 1A
Stamford, CT 06901-1025
Phone (203) 423-9477

Other names 1

  • Mrs. Krissy Wappler Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
54869TXMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1609167386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 LAKEWAY DR",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787344433",
            "telephone_number": "512-884-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 BEE CAVE PKWY STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787387173",
            "telephone_number": "512-884-1277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Summer St",
            "address_2": "Suite 1A",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069011025",
            "country_code": "US",
            "telephone_number": "203-423-9477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAPPLER",
        "first_name": "KRISSY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54869",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007472",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISSY",
            "last_name": "WAPPLER",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.